Make an inquiry (General)

Please fill in the form below, please press the submit button.
* indicates required field

* Inquiry type	--Please choose your inquiry type-- Inquiry of safety test Others
* Name	First name    Last name
* Organization
* Address
* City
* State/province
Postal code
Country
* E-Mail
* E-Mail(confirm)
Japanese office/agency	Japanese office
	Person in charge  We accept your order for testing services only through your Japanese office (if you have) or an agency in Japan.
* Inquiry